Active NPI
Gihyeon Gwon
- Athletic Trainer
- Tyler, TX
National Provider Identifier
1295657880
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT10577
- Practice address
- 4940 Paluxy Dr Apt 293
Tyler, TX 75703-2565 - Phone
- (903) 494-1995
- NPI assigned
- Jul 27, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT10577 | TX | Primary |
Addresses
Primary practice location
4940 Paluxy Dr Apt 293
Tyler, TX 75703-2565
Mailing address
4940 Paluxy Dr Apt 293
Tyler, TX 75703-2565
Phone (903) 494-1995
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785110400000",
"number": "1295657880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4940 PALUXY DR APT 293",
"city": "TYLER",
"state": "TX",
"postal_code": "757032565",
"telephone_number": "903-494-1995"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4940 PALUXY DR APT 293",
"city": "TYLER",
"state": "TX",
"postal_code": "757032565",
"telephone_number": "903-494-1995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GWON",
"first_name": "GIHYEON",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-07-27",
"last_updated": "2026-07-27",
"certification_date": "2026-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT10577",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.